Active NPI
David Michael Dick, DDS
- Dentist
- Casa Grande, AZ
National Provider Identifier
1356504518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2875
- Practice address
- 721 N Olive Ave
Casa Grande, AZ 85122-4034 - Phone
- (520) 836-7111
- Fax
- (520) 836-4613
- NPI assigned
- Jul 8, 2008
- Last updated
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2875 | AZ | Primary |
Addresses
Primary practice location
721 N Olive Ave
Casa Grande, AZ 85122-4034
Mailing address
721 N Olive Ave
Casa Grande, AZ 85122-4034
Phone (520) 836-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1356504518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N OLIVE AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224034",
"telephone_number": "520-836-7111",
"fax_number": "520-836-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N OLIVE AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224034",
"telephone_number": "520-836-7111",
"fax_number": "520-836-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "2875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.